Fibroids

Uterine fibroids are noncancerous growths that develop in or around the uterus. They are common during the reproductive years and can cause a range of symptoms, including heavy bleeding, pelvic pain, and fertility challenges.

If you’ve been diagnosed with fibroids or are experiencing symptoms that could be related, the team at Legacy For Women in Henderson, NV, is here to help. Our experienced OBGYN specialists provide expert evaluation and customized treatment options designed to relieve symptoms and protect your reproductive health.

What Are Fibroids?

Fibroids, also called leiomyomas or myomas, are growths made of muscle and connective tissue. They can range in size from small nodules to large masses that change the shape of the uterus.

Fibroids may develop in different parts of the uterus, including:

• Intramural: Within the uterine wall
• Submucosal: Just beneath the uterine lining
• Subserosal: On the outer surface of the uterus
• Pedunculated: Attached by a stem-like structure

Some women have only one fibroid, while others develop several of varying sizes.

Common Symptoms of Fibroids

Not all fibroids cause symptoms, but when they do, the most common include:

• Heavy or prolonged menstrual bleeding
• Pelvic pain or pressure
• Distended or bloated abdomen
• Frequent urination or difficulty emptying the bladder
• Constipation or lower back pain
• Pain during intercourse
• Trouble getting pregnant or maintaining a pregnancy

If fibroids are affecting your daily comfort or quality of life, it’s important to schedule a visit with an OBGYN in Henderson for evaluation.

What Causes Fibroids?

The exact cause of fibroids is not fully understood, but several factors may increase the likelihood of developing them:

• Hormonal influences: Estrogen and progesterone promote fibroid growth
• Genetics: Family history increases risk
• Age: Most common between ages 30 and 50
• Race: More common and more severe in Black women
• Lifestyle and environment: Obesity, smoking, and certain environmental factors may contribute

Fibroids often shrink naturally after menopause as hormone levels decline.

How Are Fibroids Diagnosed?

Diagnosis usually begins with a pelvic exam and a discussion of symptoms. Your provider may recommend additional testing, such as:

• Pelvic ultrasound: Confirms the presence, size, and location of fibroids
• Saline infusion sonogram (SIS): Gives a clearer view of the uterine lining
• MRI: Maps fibroid size and placement before surgery or treatment
• Hysteroscopy: Provides a direct look inside the uterus

Accurate diagnosis allows your OBGYN to design a treatment plan tailored to your specific needs and goals.

Treatment Options for Fibroids

Treatment for fibroids depends on their size, location, and your reproductive plans.

Medications:

• Hormonal birth control to manage heavy bleeding
• GnRH agonists to shrink fibroids before surgery
• Tranexamic acid to reduce menstrual blood loss
• Iron supplements to treat anemia

Minimally invasive procedures:

• Uterine fibroid embolization (UFE): Blocks blood supply to shrink fibroids
• Endometrial ablation: Reduces or stops bleeding by removing the uterine lining (not for future pregnancies)
• Hysteroscopic myomectomy: Removes fibroids inside the uterus without external incisions

Surgical options:

• Myomectomy: Removes fibroids while preserving the uterus for those planning future pregnancies
• Hysterectomy: Removes the uterus and provides permanent relief for women whose symptoms are severe and who are done having children

Your provider at Legacy For Women will discuss every available option to help you make an informed decision about your care.

Fibroids and Fertility

Fibroids do not always interfere with conception, but certain types, especially submucosal fibroids, can make it harder to get pregnant or may increase the risk of miscarriage. If you are trying to conceive or planning a pregnancy, your treatment plan will be tailored to protect fertility and support a healthy pregnancy.

Take Control of Your Health

Fibroids are common, but you don’t have to live with discomfort or uncertainty. At Legacy For Women in Henderson, NV, we offer compassionate, comprehensive care to diagnose and treat fibroids, helping you achieve relief and improved well-being.

Schedule an appointment today to discuss your symptoms and explore treatment options that work for you.